Literature by the same author
plus at Google Scholar

Bibliografische Daten exportieren

The Contribution of Intersectoral Healthcare Centres with an Extended Outpatient Care Model to Improve Regional Care-Structures : A Qualitative Study

Title data

Sturm, Heidrun ; Kaiser, Florian ; Leibinger, Philipp ; Drechsel-Grau, Edgar ; Joos, Stefanie ; Schmid, Andreas:
The Contribution of Intersectoral Healthcare Centres with an Extended Outpatient Care Model to Improve Regional Care-Structures : A Qualitative Study.
In: International Journal of Environmental Research and Public Health. Vol. 20 (2023) Issue 7 . - 5365.
ISSN 1660-4601

Official URL: Volltext

Abstract in another language

Many smaller hospitals in Germany are currently threatened with closure due to economic reasons and politically derived centralization. In some—especially rural areas—this may result in a lack of accessible local care structures. At the same time, patients are unnecessarily admitted to hospitals due to insufficient primary care structures and healthcare coordination. Intersectoral health centers (IHC), as new intermediary structures, may offer round-the-clock monitoring (Extended Outpatient Care, EOC), with fewer infrastructure needs than hospitals and, thus, could offer a sustainable solution. In an iterative process, 30 expert interviews (with physicians, nurses and other healthcare experts) formed the basis for the derivation of diagnostic groups, relevant related patient characteristics and scenarios, as well as structural preconditions necessary for safe care in the setting of the new model of IHC/EOC. Additionally, three workshops within the multidisciplinary research team (including healthcare services researchers, GPs, and health economists) were performed. Inductive categories on disease-, case-, sociodemographic- and infrastructure-related criteria were derived following thematic analysis. Due to the expert interviews, general practice equipment plus continuous monitoring beds should form the basic infrastructure for EOCs, which should be adjusted to local needs and infrastructure demands. GPs could be aided through (electronic) support by other specialists. IHC, as a physician-led facility, should rely on experienced nurses to allow for 24-h services and to support integrated team-based primary care with GPs. Alongside nurses, case managers, therapists and social workers can be included in the structure, allowing for improved integration of (primary) care services. In order to sustain low-threshold, local access to care, especially in rural areas, IHC with extended monitoring and integration of coordinative support, emerged as a promising solution that could solve many common patient needs without the need for hospital-based inpatient care.

Further data

Item Type: Article in a journal
Refereed: Yes
Keywords: integrated care; intersectoral care; primary care; primary care centers; short-term care
Institutions of the University: Faculties > Faculty of Law, Business and Economics > Department of Business Administration > Former Professors > Junior Professor Health Management - Juniorprof. Dr. Andreas Schmid
Result of work at the UBT: Yes
DDC Subjects: 300 Social sciences > 330 Economics
600 Technology, medicine, applied sciences > 610 Medicine and health
Date Deposited: 06 Apr 2023 05:27
Last Modified: 06 Apr 2023 05:27